The role of YAG-laser iridotomy in pigment dispersion syndrome.
We determined iris configuration and posterior-chamber depth before and after YAG-laser iridotomy in 20 eyes with pigment dispersion syndrome using high-resolution ultrasound and measured the intraocular pressure after a mean of 9.1 months. The iris configuration and posterior-chamber depth of our patients were compared with those of an age- and refraction-matched control group of 20 eyes without pigment dispersion. In the patient group, 8 eyes had a concave iris configuration with shallow posterior chambers and 12 eyes had planar irides. In the former group the posterior-chamber depth increased significantly after treatment. In the latter group it did not change. In the normal control group, three subjects also had concave irides. There was a significant correlation between posterior-chamber depth and refraction in patients with pigment dispersion syndrome, but not in the normal control group. After the follow-up period the intraocular pressure of treated eyes was not significantly lower than that of untreated eyes. Iris concavity can also occur in normal individuals and may therefore be only a pathogenetic cofactor in the pigment dispersion syndrome. Laser iridotomy proved to flatten irides but did not significantly decrease the intraocular pressure.
Lagrèze
W D
WD
University Eye Hospital, Freiburg, Germany.
Mathieu
M
M
Funk
J
J
D000328:Adult; D000368:Aged; D017889:Exfoliation Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D005123:Eye / Q000033:anatomy & histology; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000000981:diagnostic imaging / Q000601:surgery*; D053685:Laser Therapy; D008875:Middle Aged; D012029:Refraction, Ocular; D014463:Ultrasonography